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KFF Tracker: America First MOU Bilateral Global Health Agreements

Under the America First Global Health Strategy, the U.S. government is establishing bilateral health agreements, via memoranda of understanding (MOUs), with countries that receive U.S. global health assistance. Each sets out a multi-year plan, generally covering 2026–2030, in which U.S. assistance declines while the partner country pledges to raise its own domestic health spending. This tracker also offers a downloadable fact sheet sharing the latest status updates on America First Bilateral Global Health Agreements.

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Global Health Aid Cuts

This collection of resources chronicles what recent Trump administration global health aid cuts mean for the future of global health programs and the people who rely on them.

A promotional image for the the KFF Health Policy 101 U.S. Government and Global Health

The U.S. Government and Global Health

In this Health Policy 101 chapter, investigate the U.S. role in global health, including the major initiatives the United States supports, funding levels, and agencies involved in implementing program area efforts.

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Global Health Trackers

U.S. Global Health Budget Tracker

This tracker provides regularly updated information on U.S. government funding for global health. It includes historical trends and tracks funding levels for U.S. global health efforts through bilateral and multilateral contributions and by program area and agency.

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  • FY15 Health & Human Services Appropriations Bill Introduced in House

    Fact Sheet

    The Democratic (minority) members of the House Appropriations Labor, Health & Human Services, Education, and Related Agencies Subcommittee announced the introduction of the “Departments of Labor, Health & Human Services, Education, and Related Agencies Appropriations Act, 2015” (H.R. 5464). The bill specifies funding levels for global health programs at the Centers for Disease Control and Prevention (CDC) and the John E. Fogarty International Center (see table below). Additional funding for global health programs and research…

  • FY14 Omnibus Appropriations Act Released

    Fact Sheet

    The House and Senate Committees on Appropriations announced the release of the “Consolidated Appropriations Act, 2014” (H.R. 3547), which includes funding for U.S. global health programs. A significant portion of U.S. funding for global health, including funding at the U.S. Agency for International Development (USAID) and the Department of State, is outlined in the bill, however, total funding for global health is not currently available as some funding provided through USAID, HHS, and DoD is…

  • Senate Appropriations Committee approves FY 2014 State and Foreign Operations Appropriations Bill

    Fact Sheet

    The Senate Committee on Appropriations approved, by a vote of 23-7, the FY 2014 State and Foreign Operations Appropriations bill (S.1372), which includes funding for U.S. global health programs at the U.S. Agency for International Development (USAID) and the State Department (see table below) comprising a significant portion of U.S. funding for global health (total funding for global health is not currently available as some funding provided through USAID, HHS, and DoD is not yet available).…

  • Data Note: Americans’ Views On The U.S. Role In Global Health

    Poll Finding

    This survey about the U.S. role in global health finds.Americans’ top priorities for global health funding focus on meeting basic human needs such as improving access to clean water and food and helping children. Addressing the Ebola outbreak in West Africa is also a top priority. Some high profile issues such as malaria and reproductive health rank further down the list.. A large majority of the public overestimates the share of the U.S. federal budget…

  • American Views on Ebola Response and U.S. Global Health Efforts

    News Release

    A new Kaiser Family Foundation survey about the U.S. role in global health finds the public puts meeting basic needs such as improving access to clean water and food and helping children at the top of the priority list for U.S. global health spending. Addressing the Ebola outbreak in West Africa is also a top priority. Some high profile issues such as malaria and reproductive health rank further down the list. About 7 in 10…

  • Economic Impact of COVID-19 on PEPFAR Countries

    Issue Brief

    The COVID-19 has exacted a significant toll on the global economy. This new analysis looks at the economic impacts in PEPFAR countries finding that these countries generally fared worse than their economic and regional peers. In addition, the projected economic growth in these countries remains below pre-pandemic levels.

  • White House Releases Full FY 2022 Budget Request

    Fact Sheet

    President Biden released his full FY 2022 budget request to Congress on May 28, 2021 (an initial, topline discretionary FY 2022 budget proposal was released on April 9, 2021). The request includes an increase of almost $1 billion for global health programs, most of which (84%) is for global health security. Almost all other global health program areas were level-funded in the request, with the exception of small increases for maternal and child health (MCH)…